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OsteoArthritis is a result of degeneration of Articular cArtilage to bone caused by hyperplasia as the main performance of joint disease, is a common disease in the elderly. In recent years, traditional Chinese medicine in the treatment of osteoArthritis has made great progress, treatment means of diversification and found a lot of useful herbs and treatments in reducing the symptoms, adjusting the physical, slow down or eliminate the causes of and so on are good efficacy.
1 Ancient and Modern Literature Review
OsteoArthritis belongs to Chinese medicine 'Gubi' areas, first appeared in the 'Yellow Emperor', for the Chinese medicine theory, the source of Bi disease. 'Su Wen Bi theory' proposed 'tendon Bi', 'pulse Bi', 'muscle Bi', 'skin Bi', 'Gubi' concept, describe the specific symptoms' Bi is the bone was heavy, is the pulse is astringent and not blood flow, is that the flexor tendon is not stretched, because the meat is inhumane, because skin is cold '.
'Golden Chamber' record 'Calendar section of stroke patients' pathology as 'tendon injury', 'bone atrophy,' The main clinical manifestations as 'calendar section of pain, non-flexion and extension', similar to osteoarthritis of the knee pathology and clinical features, and a combination of licorice root tuber soup, Guizhi Fuzi soup, soup, etc. Guizhishaoyaozhimu prescriptions. Qing Wang Qing-ren 'Doctor Lin error correction' raised blood stasis caused by Bi doctrine governing body pain Zhuyu soup party, unique, and further enriched the theory of traditional Chinese medicine Bi disease. Modern Traditional Chinese Medicine for Osteoarthritis of the etiology and pathogenesis are basically consistent with the ancient knowledge that most physicians believe that the disease is characterized by 'marked the virtual real', so many to fill the liver and kidney, strengthening the bones, blood tonic to cure his book, Expelling Wind and cold-dispelling wins wet, activating blood and pain network in order to treat the symptoms.
2 within the governing law
2.1 Differentiation and Treatment of
TCM Syndrome Diagnostic efficacy of standard' of its pulp kidney deficiency syndromes are divided into losses, Yang Hanning, blood stasis type 3, this classification method is widely used clinically. Wang Shao-Shan et al [1] advocates dialectical stages, the initial permit more blood stasis, medium-term certificate is a liver and kidney deficiency, post more of Qi and Yin Deficiency. Liuhong Wang et al [2] will be divided into three types of the disease on governance: Qi stagnation blood stasis type selected body pain Zhuyu Decoction, medicinal peach kernel, Cyperus rotundus, frankincense, Zeeland, five WULINGZHI, safflower, and earthworm, myrrh, centipedes, in the final tail, Chuanxiong, Cyathula; alpine type to Bizu Dangguisini Tonga DUHUOJISHENG Decoction, medicinal Angelica, Rehmannia, independent living, Sichuan Achyranthes, Poria, Alisma, Clematis, Guizhi, peony, Gentiana, wind, Asarum; liver and kidney deficiency type with Liu Wei Di Huang Decoction, medicinal Chinese wolfberry, Eucommia, Rehmannia, Cyathula, Colla Cornus Cervi Poria, Alisma, Angelica sinensis, Chinese yam, dodder, Bupleurum, Radix Paeoniae Alba. Liu forward, etc. [3] 12 Medical units in Hunan Province in January 1997 ~ December 2003 osteoarthritis of the knee of the 892 copies of patient Medical records to form TCM survey a total of 45 kinds of syndromes diagnosed type, common The syndrome types: alpine resistance network card, Qi stagnation blood stasis, kidney marrow loss card, hot and humid Bizu card. Composite card type, to liver and kidney deficiency, or liver and kidney as the basic card, and other card combination.
2.2 Treating post-secondary side
Cao Xiangyang et al [4] Self-reinforced Decoction Zhuang, starting from the overall concept, as a systemic disease, its treatment, around the kidneys, liver, spleen three groups dirty legislative side, in order to nourish kidney-yang, based on very inviting limb , gasification moisture at the same time from the 'liver and kidney homologous to', 'liver Zhu Jin' theory of nourishing liver and, flexible tendons Holi.
Spleen and kidney is closely related to the kidney-yang Piyang get help, can Huashi Tongluo to meet the blood circulation of drugs can be Quyu Tongmai, so that gas lines were smooth, pain relief. Yan Pei-jun et al [5] moisture from the phlegm and blood stasis in Treating 176 cases of knee osteoarthritis, with Chuanxiong, Millettia each 15 g, red sage root, safflower, Pinellia, Poria, Citrus, Atractylodes of 10 g, Mustard Seed 6 g; pain, plus system is very Chuanwu, system Aconitum; swelling very Jiaze Lan, Alismataceae; partial Qi Astragalus, Codonopsis;
blood deficiency increases angelica, peony root; Han Sheng plus Clematis, Loranthaceae; wet Sheng plus Yiyiren, Polygonum cuspidatum. Day 1, Shui Jianfu, 2 weeks as a course of treatment. 1 to 3 courses of treatment, after 62 cases of clinical cure, improvement, 106 cases healed in 8 cases, total effective rate was 95.45%. Hsu Shu-Liang et al [6] Self-osteitis soup, in order to Drynaria, psoralen, Wujiapi, Shude, Clematis, Cyathula basic drugs, flexion and extension were significant increases in soft-shelled turtle barriers worms, silkworm, and the pain severe were added when Chuanwu, independent living, swelling obvious who Jiaze Lan, tetrandrine, real dragons, treatment of knee osteoarthritis in patients with 158 cases, with a total effective rate was 89.2%. Huang Xiao et al [7] to Xiaoyaosan as at the end of party, liver qi stagnation type for Bupleurum, Chinese angelica, Radix Paeoniae Alba, Poria, peach kernel, safflower, Achyranthes, papaya, Notopterygium, wind, centipedes, etc.; liver qi stagnation and damp-heat in order to Bupleurum, Angelica, white peony root, Poria, peach kernel, safflower, Achyranthes, papaya, Notopterygium, wind, centipedes, paeonol, gardenia and so on. Treatment of knee osteoarthritis in patients with 54 patients, the results of clinical control in 19 cases, effective in 22 cases, effective in 10 cases and 3 cases, the total markedly effective rate 75.9%, with a total effective rate 94.4%.
3 External
3.1 needle-knife therapy
Liushu Peng et al [8] selected patients with osteoarthritis of the knee in 85 cases to impose a small needle-knife surgery and local injection of prednisolone injection and Vit B12 injection, 1 day, 3 times for a course to meet the The treatment of patellar bomb push. Treatment results show that the total effective rate was 95.3%, efficacy satisfaction. GU Chun-ying et al [9] using needle-knife surgery is closed, joint cavity washed 1 ~ 2 times, with intra-articular injection of sodium hyaluronate 1 ~ 2 treatment courses, thereby regulating the status and changes in joint biomechanics joint synovial fluid rheological state, a total of Treatment of 300 cases of osteoarthritis and achieved good therapeutic effect. Bo Xu Lang et al [10] The needle-knife treatment of functional training with knee osteoarthritis significantly better than oral anti-inflammatory drugs group, indicating needle knife and effective lysis of the efficacy of knee osteoarthritis are significant and rapid, and reasonably functional training is right to keep and maintain the efficacy of an important role in the stability of joints.
3.2 Traditional Chinese Medicine External Treatment
Jianghong Yang et al [11] using a self to be in the prescriptions (Chuanwu, Aconitum, Pittosporum skin, Lycopodium clavatum, Speranskia tuberculata, Angelica, etc.) Fumigation treatment of 120 cases of this disease and achieved satisfactory results, with a total effective rate was 95% . Tang Guang-Ying et al [12] with peach kernel, safflower, Chinese angelica, Chuanxiong, Lycopodium clavatum, frankincense, myrrh, Pittosporum skin, Speranskia tuberculata, Achyranthes, Chuan Jiao, Artemsia argyi, Clematis, Uncaria, Zeeland, psoralen, Drynaria, Jiantang Fumigation knees. Treatment of patients with knee osteoarthritis 30 patients with satisfactory therapeutic effects, efficacy and stability. Li-Xin Chen et al [13] using self-made in the prescriptions (raw Chuanwu, raw Aconitum, Angelica, etc.) by the iodine iontophoresis treatment of 400 cases of the disease, with a total effective rate 98.5%. Zhouqi Hui [14] Application of Tongluo topical analgesic cream made of plaster to achieve cold-dispelling dampness, qi and blood circulation, meridians pain purposes. Treatment of 120 cases of this disease, effective in 93 cases, effective in 22 cases, ineffective in 5 cases, total effective rate was 95.8%. Reposted elsewhere in the Research Papers Download http://www.hi138.com
Jianghong Yang et al [11] using a self to be in the prescriptions (Chuanwu, Aconitum, Pittosporum skin, Lycopodium clavatum, Speranskia tuberculata, Angelica, etc.) Fumigation treatment of 120 cases of this disease and achieved satisfactory results, with a total effective rate was 95% . Tang Guang-Ying et al [12] with peach kernel, safflower, Chinese angelica, Chuanxiong, Lycopodium clavatum, frankincense, myrrh, Pittosporum skin, Speranskia tuberculata, Achyranthes, Chuan Jiao, Artemsia argyi, Clematis, Uncaria, Zeeland, psoralen, Drynaria, Jiantang Fumigation knees. Treatment of patients with knee osteoarthritis 30 patients with satisfactory therapeutic effects, efficacy and stability. Li-Xin Chen et al [13] using self-made in the prescriptions (raw Chuanwu, raw Aconitum, Angelica, etc.) by the iodine iontophoresis treatment of 400 cases of the disease, with a total effective rate 98.5%. Zhouqi Hui [14] Application of Tongluo topical analgesic cream made of plaster to achieve cold-dispelling dampness, qi and blood circulation, meridians pain purposes. Treatment of 120 cases of this disease, effective in 93 cases, effective in 22 cases, ineffective in 5 cases, total effective rate was 95.8%. Reposted elsewhere in the Research Papers Download http://www.hi138.com
3.3 Acupuncture Massage Therapy
Ren Bin et al [15] with diagonal stabbing Yanglingquan Acupuncture, Yin Ling Quan, sea of blood, Liang Qiu four points, methods for reinforcing-reducing. Zhou Guanghui [16] to 100 cases of knee osteoarthritis patients were divided into treatment group and control group, 50 patients treated with electro-acupuncture treatment and control group with intermediate frequency electrical stimulation treatment in FM. Results After treatment, the degree of knee pain score, knee function evaluation, compared with the control group there was a significant sex difference in the treatment group more effective than the control group. Yu-Ling Chen et al [17] to take Shenshu, Zusanli the main points, accompanied by Liang Qiu, Yin Ling Quan or the sea of blood, Yang Ling-chuen, using point injection therapy, the condition of patients used interchangeably angelica injection, velvet injection, compound summer without injection and so on. Shi-Bin et al [18] The orthopedic massage methods, such as reasonable tendons practices, pelvic correction, hip-knee linkage method, combined with the positive point of compound treatment of blood circulation Sticking Plaster 157 cases of knee osteoarthritis to obtain a more satisfactory outcome. Zhang Hemin [19] The method according to eye-shaking knees, first to be followed by acupuncture, and clear the meridians so that blood smooth, and then to impose local massage, by such means as eye-shaking knees so that localized adhesion to lysis and restore joint normal activities.
4 Comprehensive Therapy
Hai-equality [20] using self-prepared bone Bitong Keshikata Oral to meet the self-made side Fumigation Fumigation joints, massage techniques, comprehensive treatment of knee osteoarthritis in patients with 252 cases, efficiency of 95.2%. Chang Cheng Feng et al [21] Application of Chinese medicine Qufengchushi heat or combined with acupuncture and small needle-knife treatment of 75 cases of the disease, 54 cases of clinical cure, improvement in 16 cases, ineffective in 5 cases, efficiency of 93.33%. LU Yu et al [22] The knee joint mobilization, strength training, medicines being closed or combined therapy, physical therapy combined with conventional drug therapy to control closure were treated 60 patients with knee osteoarthritis, treatment, results showed that both efficacy significant difference between the use of joint mobilization, strength training, and medicines being closed or combined treatment of knee osteoarthritis, results were satisfactory. Cheng-Qi et al [23] Application of Point-injection (injection of Danshen Injection is a Point A) and exercise therapy combined treatment of 30 cases of this disease, effective in 15 cases, progressive, 8 cases improved, 4 cases and 3 cases, efficiency 90.0% .
To sum up, Chinese medicine treatment of osteoarthritis of the studies have yielded great progress, there are many treatment methods. However, there are still some problems, such as TCM Syndrome typing non-standard, it is difficult to do valid comparisons; clinical research design is not quite reasonable to treat drugs varied, generous compound more difficult to find an effective combination of traditional Chinese medicine and so on. In order to further study the disease, should establish uniform standards for TCM Syndrome typing and Application of evidence-based medicine approach to a reasonable research design, this is to improve the scientific literature, reliability, a prerequisite. For the treatment, in addition to syndrome differentiation, we must also note that patients identified specifically on the governance side, the dialectic between the two patients with the identified organically combine each other. This will not only for Chinese medicine treatment of osteoarthritis of the provision of new ideas, but also for the future development of sets of square refined, reproducible and Chinese medicine as a basis for Chinese medicine research and development of new drugs to provide a reliable basis.
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